BMCH2015-042178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
`&*r °F rwQuiRrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0421
43652 PALERMO CT
609521007
HEGGE / REPLACE 2TON AC AND COIL
$5,120.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
OCT 2 9 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/29/2015
Owner:
DON HEGGE
43652 PALERMO CT
LA QUINTA, CA 92253
Contractor:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of'consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C36, C10, C20 License No.: 765074
of the work for which this permit is issued.
4L�ave and will maintain workers' compensation insurance, as required by
Date: W" e11 ��� Contract /
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier:- Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that,,if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
Date:W0 11A_ks AppIican .
basis for the alleged exemption. Any violation of Section 70315 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property whc builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
Date
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the .
above-mentioned property for inspection purposes.
Date:-a-1'�� Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT CITY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$24.18
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY '
DESCRIPTION
ACCOUNT
QTY
AMOUNT'
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$9.66
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $33.84 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
.$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• ••
Description: HEGGE / REPLACE 2TON AC AND COIL
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 10/29/2015 SKH
Approved:
Parcel No: 609521007 Site Address: 43652 PALERMO CT LA QUINTA,CA 92253
Subdivision: TR 28457-2 Block: Lot: 9
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,120.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT- 14SEER/78AFUE A/C UNIT AND COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
- "+e. � � � f . � :� x?;�;, �gc.�xe - ti _r.:` �' � r � � � � � +n'r, , �iy.d '�,;'a .7 r l;� � y i.. � t -. : g'?t,�•,.
Printed: Thursday, October 29, 2015 10:23:28 AM 1 of 2
(rflL.1 V LJ SYSTEMS
I`Pel'11111Detrall5 PERMIT NUMBER
B M CH2015-0421
City of La Quinta
=- INSPECTIONS ' x
*ATTACHMENTS _ -4
V;-` .. ��,-', _# .,_ '+"ac t. n e !fX`.�.r1, ,�_ .iF. •, .�.._.Y ;s .,- o?_. .s ,- 1
Printed: Thursday, October 29, 2015 10:23:28 AM 2 of 2
aFLJ IJ SY57EM5
'[
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$24.18
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$9.66
$0.00
REPAIR/ALTERATION PC
Total Paid for CHANGEOUT: $33.84 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• • •• a
=- INSPECTIONS ' x
*ATTACHMENTS _ -4
V;-` .. ��,-', _# .,_ '+"ac t. n e !fX`.�.r1, ,�_ .iF. •, .�.._.Y ;s .,- o?_. .s ,- 1
Printed: Thursday, October 29, 2015 10:23:28 AM 2 of 2
aFLJ IJ SY57EM5
Bin #Ory
ofla Quin' td
Buflding at Safety D &16n
P.O. Box 1504,'78-495 Calle Tampko
La.Qutnta, CA 92253 ••(760) 777-7012
Building Permit-Application and Tracking Sheet
Perrrlft #
$21
Pmjcct.Au!=: 43652 Palermo Ct
Owner's Name:
A.P.Number. Q09-521-007-
Address: 43652 Pal r . o
Legal Description: keoiace 2 ton A/C unit & coil
City,ST,Zip: La Quinta,
Contractor. Ri htime Home Se'vices
Telephone: 760-200-9497
Add=s: 3030 Myers St
Project Description:
City-9, zip: Riverside CA 92503
Telephone 76-9744
ReDlace
State Lic. H : 76507.4 "
City Lic. 112 004
Arch., Eng., Designer. N/A
Address:
City. ST. Zip:
Telephonc: y
State Lic, 4:
Nnmeofcontact Pcrson: Jane Recktenwald"
Construction Type: , occupancy:
Project type (circle one): New Add'n Alter Repair Detno
Sq. Ft.; fi Stories. n units:
Telephonc tt of Contact P«son: 714-336-6159
Estimates! Value of Project 5,120,.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
M
Submittal
Req'd
-Reed
TRACKING PERMrTFEES-
Plan Sets
Plan Cheek submitted Iteun Amount
Structural Gales.
Reviewed. ready for corrections Pico Chcek Deposit• .
Truss Cases..
Called Contact Person Plan Check Balance •
T11104 CaleL
Plans picked up Construction
Flood plain plan
Plans resubmtlled, , Meeharilcal
Gisding plan
2" Review, ready for eorrectionsrmuc Electrical
Subconttctor Llst
Called Contact Person Plumbing
Grant Deed
Mus lilcktd up S.M L
IMA. Approval
Plans resubmitted Grading
IN HOUSE:-
" RtvIerv, ready for.corrccilonAssuc Developer Impact Fee
Planning Approval.
Called Contact Person A.)•P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CER'TIFtCATE OF COMPLIANCE CFLR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: HEGGE Date Prepared: 2015-10-27
A. General Information
CF111•ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CFIR-ALT-02 document far each dwelling unit.
01
Project Name
HEGGE
02
Date Prepared
2015-10-27
03
Project Location
43652 PALERMO CT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
07
Zip Code
92253
08
Dwelling Unit Conditioned
1000
tttstailing
Installing
Installing
Floor Area (ft2)
Location a •
by _
5ducted -.
cottta ng
-;1 tem�'i
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems In this dwelling
1
wmponent?
componentst &
.few
duct system?
unit.
Alteration type
B. Space Conditioning (SC) System Information
O1
02
03
04
os
06
07
08
09
10
is the SC$�
finstalpng a�,
SC System
SCS (
QFA serve
sysi m a
refrigerant
In In new SCI
tttstailing
Installing
Installing
Identification
Location a •
by _
5ducted -.
cottta ng
-;1 tem�'i
re than 40
etaducts?
entirely new
entirely new
Name
Se
Systern�
wmponent?
componentst &
.few
duct system?
SC system?
Alteration type
System 1
Yes, _ .
Yesy .;.pYes.
� �
� L
: Nod,
No
No
Altered space
conditioning system
VrVr Yr1 {V{ �7{ {u ��{ v rwvv v{aa •�v�a
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)2Diib)
This section does not apply to this project.
t
-' Registration Number. 315-A1014S22A-000000000.0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Datef ime: 2015-10-27 12:3756
Report Version: 2013-1.006
Schema version: OS55SDD
HERS Provider: USERA
Report Generated: 2015-10-27 11:38:09
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct length
R -Value
Central gas
Central split
All new
Less than or
System 1
furnace
Irsdaor call
AFUE
.78
AC
Cooling
SEER
14
Setback
equal to 40
R-8
components
feet
ReoUlled Documentation:
MR -MMOL -E - Space Conditioning Systems Ducts and fans
-Duct Insulation requirement for new plenums: R6.
CF211-MCH-20-H & MR -MCH -20-H — Duct leakage testing required when heating or cooling components are installed In ducted systems, or when more than 40 it of duct length Is replaced.
Aeakage rate compliance: S 15%, ars 10% leafage to outside, or seal all accessible leaks.
C 2R.MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8 -IS).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CTM/ton required when MRI -2S Is required.
Exceotlrnv
-Duct systems registered with HERS provider as previously seated are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handter/Fumace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Registration Number 315-A1014522A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/rime; 2015-10-27 11:37:56
Report Version: 2013-1.006
Schema Version: 0.555SDD
HERS Provider: USERA
Report Generated: 2015-10-27 11:3809
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
DocumentatlonAuthor Nanw.
Documentation Author Signature:
Jim McEligot
Signature Date:
Company:
RighTime Home Services
2015 -ID -27
Address:
CFAJ HERS Certification Identification 111 applicable):
3030 Myers St
765074
aty/State/2ip:
Phone:
Riverside CA 92503 1951-276-9744
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance ittrue and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design Identified on this certificate of Compliance (responsible designer).
3. That the energy features and performance specifications. materl*, components, and manufactured devices for the building design or system design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Part i and Part 6 of the Catlornia code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5, i will em that a registered=" of it* CertM1c"off Compliance SW be made available with the building permitis) Issued for the Widing, and made available to the enforcement agency for all applicable
Impectb I emlmnd tt to rcgtsL�redcapyvi erttilate of 6ompNarxe is requli to be induded�with the documentation the builder provides to the building owner at occupancy.
Responsible Designer
' r Responsible Desig nerSighat4
[/
Jim McEli of
Company, . Oste Sfgned:�
..: t
RighTime Home S 2015-10-27"'
Addrnss:ttcense:
U.S. Energy Ra ,Association
3030 Myers St
city/State/71p: Phone:
Riverside CA 92503 951-276-9744
I
'This digftef signature is provided in orderro secure
tho content of this registered document. and in no
ATIo
way 4mpUe9 Registration Prvvlder respansibftlty for
U.S. Energy Raters Assoclatfon the accuracy of the information.'
Registration Number. 315-A1014522A-000000000-0000 Registration Datei<me; 2015-10-27 11:37:56 HERS Provider: USERA
CA 8utiding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10.27 11:38:09
Schema Version: O.SSSSDD